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. . 927 ,57a5 $OL3IBERG PI.�[BG ' <br /> I.[B �002 <br /> � APPLICATIE��1 �OR CONSTRUG7'�N PERMfT <br /> TO BE COMPLETED 1N BLACK INK—p.EAS�pRiNT � <br /> BUILOING DEPARTMEN7' NEATING SYSTEM: I„l pq$ a ELECTRIC 0 �� �� �� —1 <br /> 259-8810 ' �`" ' —"----� <br /> � fl �EMOLITION �1 GOM6INATION (.I �UILDING IJMECHANICAL <br /> d�H.�EI, CaPwvc'e5 wtiwuneea ._-----__. . .. _ PLUMBING_ I�l SION <br /> cnr ein " rNone <br /> 1eCRea.r u.��a� ., P o.Bo,c 97r,50`..`���7►Kt�u7� .981LN 9 So <br /> Men enuncse' ��n, ` �•-.•-_ H 39-59R9 <br /> ��t �1P rnoNt ---1— <br /> PPGWTFCTOIIDEYII3IVlH MAILI1D011lf1tl ' ' '�y 21I' , <br /> ruorrc <br /> GFNFqILLCpN11M��yh11.�00Ht3$ "–��'�'••.•• •• <br /> CIIY IW PuoNE. SATEIICENBFA <br /> 5DL -" <br /> 1AF.CHnMGLCOtlfXllolfHt u/�ADDRt6�—r� CIIY •--LP –___' '.' ..1.`_ <br /> .� ri+or+[ sATEU�NSE� <br /> q�P1e7�ONfMC1�M MAlI1pOXlb9 �� " •..- <br /> Nol-Npa-ae[r Pulv$ J nioNc <br /> _I.��' -�'�� �.IPKL+NIP7 Z1' L1A7ELICEN6Er "-� <br /> cz.nw�rrw ofwONK ------.—`..��!� �008 Q�Z22233 �ALM$Pi) 7iMA <br /> �'`_�.8 ��-.._ ..- <br /> bF6CbRFwo�KN+o�NhEFOoinr.[�xvoWEn ' -. ._ <br /> �'JR.,lui � .��J -r� c,Ow�twYs 5Y�7c�+� cor+uotreaeur� nviarmrw.. <br /> --.- .. ..�NF2 Nn�s•� Q1.2-1233 <br /> ..._ W�ttF�� 5'[xac�v�. --�-- <br /> .._..._._ - ---- ��-----�_ <br /> rxor�ismus6oFeunni � '�----• �� I NEREBY CERTIfY T.HAT I HAVE READ nND EXAMINED THIS <br /> �� ��K APPLICAtION ANd KNOW THE SAME 70 BE TRU6 ANp CORRECT,ALL <br /> PROVISION3 OF LAWS AND ORDINANCES GOVpiNINp 7HI6 T7PE OF <br /> �euRtbFscprorwdo�rnorentr�sNah7ecuxvor�rti�eH7Wpca��F1 WORK WILL HE COMPLE7Ep W�TH WHETHER SPECIFIEO HEREIN OR <br /> lOT -- . DLWk • oF - __ ,__, . _ NOL THE GRANTI.VG OF A PERMIT DO@5 NOT PRESUME TO QIVE <br /> AU7HORIIY TO VIOLA7F OR CANCEL THE PROVISION� OF ANY <br /> —. _.. _ OTHER STATE OR LOCAL LAW qEGULATING CphBTRUCTION OR TME <br /> PEH�ORM�NCE OF CONSfN11CTI0N.TifAT I AM AUTHORIZEO B�THE <br /> OWNER OF THIS PROpERTY TO p�RFORM TH6 WORK FOR WMICH <br /> PnpcarnK�.v.NUMNn �� " '" APPUCATION IB MFD6 ANO 1 CpMPLY WITH THE STpTE <br /> CONTRACTORB U1W iB,g7 pCW AND 288.20p W�C. <br /> � �G7N07X�1CTIC�1lG+NLENDFp.MpnEB8,iF16ilIONlNIlA19E—'_p��" "' � <br /> O��R �i an,ocEv 8�ZL�93 <br /> PNO.IEC7 ADDpESS ' - <br /> 111�.7 ��cx� wnY �l�rr � . ' :"""'""` 177N� ..__ w*E--_" <br /> PLUM�INQ � —�-�—�-",.. unwSwEsclrovx,vta. --------.-. <br /> MECHANICAL <br /> N0. TYpE OF FIXTUHE OA ITEM FEE 0. TYpE OF EQUIPMENT FEE <br /> wnTeq q pSEr Ro2 � lV�A/HNDLG UNITS-H,P <br /> BATIfTi1B - � <br /> �AVA70RY(wASH BnSIN) � � ; FORCED AIR SYSTEMS-g.t�, M,E.A. � 7 —" <br /> � UNI7 HEAtEHS-B,7.U� M � <br /> SHOINER _TT_� . � CLO7HE5 DRYERS -��—�—" <br /> I(RGHEN SINK a p�Sp _ �_ VENTIUITION Fi{N " ' � <br /> OIBHWAgHEp qANGE HOOp -"—�— <br /> � <br /> LAUNDRY TRAY � ' WATER HE�TER �" ; <br /> � CLOT� HES WASHE�—� ' � ` WppD 6TOVE ' � � <br /> _ URtNAL ; � MEfAI FIREpLACE(WOOD 6URNINO) �` <br /> I DRINKING FOUMAIN �� �� � � FlREPLACE INSERT +� ' � <br /> FLOORDRAIN �� • -� � <br /> ' HEAT PUMP � '— <br /> BAOKPLOW PAEVENT�RS �� ; � Ga5 PIPINq � , <br /> D ROOFDRAINS—RAWLEADERS � � 0 EXNAUSTFAN � ' � <br /> SINK(SERVICE—bAR,ETC.� � '��� � ' ••• --�.--:—..— <br /> � _. i � <br /> • _ _ � � � <br /> _._.._ ,. , � <br /> _ � _ --�----.. <br /> . .. � .. �. . ..- ..J�� <br /> . .� . .. .-, � � .� 1 <br /> I �--�.. <br /> .. 0 SUBTOTAL j . SUBTOTAL 6 Ap � --4 <br /> _ ,fl PEpMIT S � PEflM1T S ' � <br /> � '� TOTpL FEE 6 TOTAL FEE S � <br /> FOR OFFICE USE ONGY: <br /> FppNiPROACIt - PFMBCTOnCK Rm[iliBtiUK PIrWCHE�M1MBCn F6F aF.G61pTNo, <br /> Q <br /> usF7nNc � �oi�wci� v�Me�Tc FEEB YAIUATION FEE <br /> n ves u Ho <br /> 9UILUINO ; <br /> IT14WGNI5T. NO.Or6i0RK8 �umMwCY X0.0lGwniixnuqi� •_ 1_ <br /> PLUMpINp , <br /> � <br /> lRCo�lLeO. fqiFBPR7�64t11s�ECn OASEMEM MFGHANICAL • + � <br /> fl ti'ES [� NO • ' <br /> ocwvANcrinno rm[�un',iRttro i¢icHiuMiUtpH A�DRION11LPtANONEGK . - �- <br /> � i <br /> uF�Pou " . •OTIIER i <br /> _ _ � .-�� <br /> STATE BUILDINO 6URCHAq06 � <br /> "n•�o� PtNrJAPPPOK.C'�6Y j�CITYO'�F"EVEBETT PuauawonKs ' <br /> � �nnt� �u ea ___�,_ � <br /> ---�.-- <br />